Organization
BRACEYS SUPERMARKET INC MOOSIC
Active
Other names
ShopRite Pharmacy of Birney Avenue
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
3382 BIRNEY PLZ, MOOSIC, PA 18507-1560
(570) 904-6042
(570) 904-6043
Mailing address
921 DRINKER TPKE STE 24, COVINGTON TOWNSHIP, PA 18444-7948
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
02/26/2021
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